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Seeing buprenorphine cross the Atlantic came as no surprise to Bisaga. "It's a problem with every drug we have," he says. "It was just a matter of time."

Introduce a drug, and soon people will find a way to use it to get high.

According to SAMHSA figures, emergency-room visits involving buprenorphine use "increased substantially, from 3,161 in 2005 to 30,135 visits in 2010, as availability of the drug increased." More than half of the people seen at the ER reported that they were using the drug "non-medically."